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SUMMER RAFFLE 5782

Raffle Drawing: Wednesday, August 24th

Need not be present to win. All winners will be notified.

You do not need a ticket to participate, the drawing will be done electronically.

Terms & Conditions
Your Information:
Full Name:*

First Name Last Name
Phone Number:*

Area Code Phone Number
E-mail:*

Address:*

Street Address
Street Address Line 2
City	State / Province
Postal / Zip Code	Country

Raffle Tickets:
Ticket Options:

1 ticket - $36 4 tickets - $100 9 tickets- $180 (Includes 1 entry into the Israel raffle) 20 tickets - $360 (Includes 2 entries into the Israel raffle) 50 tickets - $770 (Includes 4 entries into the Israel raffle) 75 tickets - $1,000 (Includes 5 entries into the Israel raffle) 150 tickets - $1,800 (Includes 10 entries into the Israel raffle)
Payment Information:
Total:

$0.00

Payment

Credit Card

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Credit Card Number	Security Code
Name on Card
Expiration Month	Expiration Year

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